Individual
VIMAL SHIV KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 HAYES AVE, BUILDING A, SANDUSKY, OH 44870-7248
(419) 625-6966
(419) 625-6997
Mailing address
2800 HAYES AVE, BUILDING A, SANDUSKY, OH 44870-7248
(419) 625-6966
(419) 625-6997
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35058676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061610
—
OH
Enumeration date
01/12/2007
Last updated
07/08/2007
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